Factors associated with readmissions in women participating in screening programs and treated for breast cancer: a retrospective cohort study.

Aged Breast Neoplasms / diagnosis Early Detection of Cancer / statistics & numerical data Female Humans Middle Aged Patient Readmission / statistics & numerical data Retrospective Studies Risk Factors

Breast cancer Complication Readmission Screening

Journal

BMC health services research

ISSN: 1472-6963

Titre abrégé: BMC Health Serv Res

Pays: England

ID NLM: 101088677

Informations de publication

Date de publication:
05 Dec 2019

Historique:

received: 11 07 2019

accepted: 28 11 2019

entrez: 7 12 2019

pubmed: 7 12 2019

medline: 5 3 2020

Statut: epublish

Résumé

We aimed to identify the risk factors associated with early, late and long-term readmissions in women diagnosed with breast cancer participating in screening programs. We performed a multicenter cohort study of 1055 women aged 50-69 years participating in Spanish screening programs, diagnosed with breast cancer between 2000 and 2009, and followed up to 2014. Readmission was defined as a hospital admission related to the disease and/or treatment complications, and was classified as early (< 30 days), late (30 days-1 year), or long-term readmission (> 1 year). We used logistic regression to estimate the adjusted odds ratios (aOR), and 95% confidence intervals (95% CI) to explore the factors associated with early, late and long-term readmissions, adjusting by women's and tumor characteristics, detection mode, treatments received, and surgical and medical complications. Among the women included, early readmission occurred in 76 (7.2%), late readmission in 87 (8.2%), long-term readmission in 71 (6.7%), and no readmission in 821 (77.8%). Surgical complications were associated with an increased risk of early readmissions (aOR = 3.62; 95%CI: 1.27-10.29), and medical complications with late readmissions (aOR = 8.72; 95%CI: 2.83-26.86) and long-term readmissions (aOR = 4.79; 95%CI: 1.41-16.31). Our results suggest that the presence of surgical or medical complications increases readmission risk, taking into account the detection mode and treatments received. Identifying early complications related to an increased risk of readmission could be useful to adapt the management of patients and reduce further readmissions. ClinicalTrials.govIdentifier: NCT03165006. Registration date: May 22, 2017 (Retrospectively registered).

Sections du résumé

BACKGROUND BACKGROUND

We aimed to identify the risk factors associated with early, late and long-term readmissions in women diagnosed with breast cancer participating in screening programs.

METHODS METHODS

We performed a multicenter cohort study of 1055 women aged 50-69 years participating in Spanish screening programs, diagnosed with breast cancer between 2000 and 2009, and followed up to 2014. Readmission was defined as a hospital admission related to the disease and/or treatment complications, and was classified as early (< 30 days), late (30 days-1 year), or long-term readmission (> 1 year). We used logistic regression to estimate the adjusted odds ratios (aOR), and 95% confidence intervals (95% CI) to explore the factors associated with early, late and long-term readmissions, adjusting by women's and tumor characteristics, detection mode, treatments received, and surgical and medical complications.

RESULTS RESULTS

Among the women included, early readmission occurred in 76 (7.2%), late readmission in 87 (8.2%), long-term readmission in 71 (6.7%), and no readmission in 821 (77.8%). Surgical complications were associated with an increased risk of early readmissions (aOR = 3.62; 95%CI: 1.27-10.29), and medical complications with late readmissions (aOR = 8.72; 95%CI: 2.83-26.86) and long-term readmissions (aOR = 4.79; 95%CI: 1.41-16.31).

CONCLUSION CONCLUSIONS

Our results suggest that the presence of surgical or medical complications increases readmission risk, taking into account the detection mode and treatments received. Identifying early complications related to an increased risk of readmission could be useful to adapt the management of patients and reduce further readmissions.

TRIAL REGISTRATION BACKGROUND

ClinicalTrials.govIdentifier: NCT03165006. Registration date: May 22, 2017 (Retrospectively registered).

Identifiants

DOI: 10.1186/s12913-019-4789-3 PMID: 31805926 PMC: PMC6896282

pubmed: 31805926

doi: 10.1186/s12913-019-4789-3

pii: 10.1186/s12913-019-4789-3

pmc: PMC6896282

doi:

Banques de données

ClinicalTrials.gov

['NCT03165006']

Types de publication

Journal Article Multicenter Study Observational Study

Langues

eng